Individual
JOSE LUIS CANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 223-2618
Mailing address
8811 SW 132ND PL, MIAMI, FL 33186-1792
(786) 316-8537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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